THE EFFECTS OF LOSING A PARENT ON TEENAGERS MENTAL HEALTH

Name: (optional) : SAMOKAN RYAN Age: 20

Gender: Female

QUESTIONNAIRE

Please do put (X) if your answer is YES and put (X) if your answer is NO.

YES NO
1. Does losing a parent during your teenage days has a big impact X
to you?
2. Does living without a parent affects your life? X
3. Do you cope up well being alone? X
4. Do you consider yourself as a failure for not having a complete X
family?
5. Do you feel unloved? X
6. Do you seek for a parent’s love? X
7. Does losing your parents give you trauma? X

8. Do you get jealous when you see a complete family? X

9. Do you get angry when someone recall how you lost your X
parents?
10. Do you feel empty even up to this moment? X
11. Do you think moving on is possible when you lose your X
parents?
12. If there is a time machine, will you sacrifice your life today just X
to be with your parents?
13. Do you still dream of having a complete family? X

14. Do you feel alone? X

15. Do you feel being unwanted child? X
16. Do you think losing your parents give you so much anxiety? X
17. Do you think you can still start a new beginning after losing X
your parents?
18. Do you think you can surpass any challenges in life without X
your parents?
19. Do you think you can still be happy without the presence of X
your parents?
20. Do you think a teenager wanted his/her parents to die? X